Individual
KAYLIE RUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4602 E UNIVERSITY DR STE 130, PHOENIX, AZ 85034-7430
(888) 754-0398
Mailing address
15390 W CENTERRA DR N APT 30, GOODYEAR, AZ 85338-4171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-138784
AZ
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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